#RCOAupdates

Speakers at RCoA Anaesthetic Updates, Feb 2026

Speakers at RCoA Anaesthetic Updates, Feb 2026

Speakers at RCoA Anaesthetic Updates, Feb 2026

Delegates at RCoA Anaesthetic Updates, Feb 2026

A week ago, we kicked off our 3-day Anaesthetic Updates conference ✨

A huge thank you to all our speakers who delivered inspiring and thought-provoking lectures 🙌

One delegate said: "It lives up to its name - truly providing a variety of updates in anaesthetics".

#RCoAUpdates #Ansky #Medsky

AI in Healthcare Learn how AI can transform healthcare delivery for all stakeholders while keeping compassion, communication, and connection at the heart of care. More ...

#RCoAUpdates bit of CPD on AI in healthcare. 10 hours of CPD.

www.rcsi.com/online/find-...

#RCoAUpdates worrying signs of CHF

#RCoAUpdates types of heart failure. HFrEf
Signs and symptoms and EF<40%
HFmrEF 41-49%
HFpEF >50% but with structural abnormalities

Different medications in the HFpEF group

Just to keep you on your toes. HF w improved EF! Keep them on their meds…

Entresto - just for HFrEF

#RCoAUpdates new NICE guidelines came out a few weeks ago for CHF.

#RCoAUpdates risk of DKA with SGLTi’s probably over stated. Can be stopped day before and day of. Check ketones if worried. And restart when patients are eating and drinking normally, usually next day.

#RCoAUpdates GI symptoms bare no relation to gastric contents…

Looks like gastric USS is going to become core practice.

#RCoAUpdates

This expert thinks the guidelines on GLP-1’s and aspiration are bunkum!

The data is flawed in his opinion.

Certainly don’t stop them… hyperglycaemia is well demonstrated to be harmful.

#RCoAUpdates

Eligibility for glp-1’s - half of all US adults!!!

Lots of people taking them without prescription.

>>100 billion USD market, 300 different agents in the making.

Using the new electronic frailty index (eFI2) to aid frailty identification and management in primary care The term ‘frailty’ describes a condition characterised by loss of reserves causing vulnerability to a range of adverse outcomes after relatively minor illnesses.1 It has a reported prevalence of aroun...

#RCoAUpdates never heard of this! Electronic frailty index

bjgp.org/content/75/7...

#RCoAUpdates frailty - biggest subject of our times. Our largest and fastest growing surgical group is over 75’s

Surgical Outcome Risk Tool (SORT) - SOuRCe / NCEPOD

#RCoAUpdates Dr Claire Dunstan - one of my old med school and anaesthetic training buddies!

Preop risk prediction tools.
Stratifying “amber” patients for elective surgery hubs.

Objectify risk. Guide decision making.

#RCoAUpdates echo guidelines 2025 - interesting.

Getting It Right First Time - GIRFT The Getting It Right First Time (GIRFT) programme is helping to improve the quality of care within the NHS by bringing improvements

#RCoAUpdates the perioperative pathway - Dr Joanna Simpson.
Guidelines anyone?
Screen/optimise/review/date when ready/SDM.

Leading to Get It Right First Time (GIRFT) not heard of this - some good guidelines eg echo and proBNP

gettingitrightfirsttime.co.uk

#RCoAUpdates NHS 10 year plan.

Gist of more community care, technology and prevention not cure.

Honourable goals!

Shortfall of 1900 anaesthetists across the UK…

Massive squeeze at the specialty training level. No shortage of applicants. 12:1 for core anaesthetic places.

Day 3 #RCoAUpdates

So lovely to meet you IRL @lotusgav.bsky.social hope you enjoy the rest of #RCOAupdates

Here are the links to those free to access gastric ultrasound resources if it's hard for anyone to read the QR codes

www.gastricultrasound.org/en/home/
usabcd.org/courses/gast...

#RCoAUpdates the commercial space era - right up my alley!!

Anaesthesia plan in microgravity?!

TIVA only!

Shelf life of drugs (thio would last a long time 😊) but bubbles in the solution can’t be “tapped” out!
But TIVA ketamine is the choice…

#RCoAUpdates post op pain management- Professor Narinder Rawal.

Increased knowledge does not equal increased patient satisfaction.

2024 half of postop patients feel moderate to severe pain…

#RCoAUpdates resource for learning gastric USS c/o @rosiehogg.bsky.social

#RCoAUpdates airway ultrasound for prediction and planning.

We are awful at identifying the cricothhroid membrane… USS is much more accurate

#RCoAUpdates

Lung USS - can answer useful questions

#RCoAUpdates GLP-1’s - everyone will be on them soon! And are often being taken by our patients un prescribed.

So gastric USS whether we like it or not is going to become a necessary skill.

#RcoAUpdates @rosiehogg.bsky.social next.

POCUS and clinical decision making.

Gastric USS hot topic - how can it help me?

#RCoAUpdates Dr Emma Temple - another amazing bio! Futility in critical care. This is a big deal and will get bigger.

Care should be offered if it’s considered beneficial.

And we’re into health economics. ICU is expensive - need to do the best for the many not the one??

Day 2 #RCoAUpdates

#RCoAUpdates just met @rosiehogg.bsky.social like being in the presence of anaesthetic royalty 😊 very nice to chat to.

Another day of live updates…

The Kidney Failure Risk Equation UK Find out your real risk of kidney failure

#RCoAUpdates risk of kidney failure. Not seen this one before. kidneyfailurerisk.co.uk

Defining the role of thoracic spinal anaesthesia in the 21st century: a narrative review Since the performance of the first thoracic spinal anaesthetic in early 1908 many anaesthetists have gained interest in this unorthodox neuraxial anaesthetic technique. The main rationale justifying i...

#RCoAUpdates interesting thoughts - thoracic spinal anaesthesia anyone? @bjajournals.bsky.social

#RCoAUpdates Rachel Gibson unfortunately passed away due to LA overdose during THJR. Write down what you want to give in milligrams and millilitres, check with your nursing staff what they have drawn up before they give it.